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For Agents: Ancillary Products

United Concordia

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Rate Sheets | Enrollment Forms | Miscellaneous Forms | Marketing Materials


Overview

United Concordia has been, and remains, a Dental Leader in Western Pennsylvania. United Concordia is a perfect fit for all clients, and especially for virgin groups looking to bypass waiting periods and obtain instant access to benefits for major services. The "Preventative Incentive" excludes diagnostic and preventative services from counting against the annual maximum, leaving clients with more benefit dollars for other covered services.


Rate Sheets

Western Pennsylvania - Valid For 1/1/12 - 6/1/12 Effective Dates
Flex / Preferred - 2-9 Lives
02/11/12
Flex - 10-50 Lives - 70% Participation
02/11/12
Flex - 10-50 Lives - 20%-69% Participation
02/11/12
Preferred - 10-50 Lives - 70% Participation
02/11/12
Preferred - 10-50 Lives - 20%-69% Participation
02/11/12
Choice - 10-50 Lives - 70% Participation
02/11/12
Choice - 10-50 Lives - 20%-69% Participation
02/11/12
Flex - 51-99 Lives - 70% Participation
02/11/12
Flex - 51-99 Lives - 20%-69% Participation
02/11/12
Dental HMO
02/11/12

Central Pennsylvania - Valid For 1/1/12 - 6/1/12 Effective Dates
Flex / Preferred - 2-9 Lives
02/11/12
Flex - 10-50 Lives - 70% Participation
02/11/12
Flex - 10-50 Lives - 20%-69% Participation
02/11/12
Preferred - 10-50 Lives - 70% Participation
02/11/12
Preferred - 10-50 Lives - 20%-69% Participation
02/11/12
Choice - 10-50 Lives - 70% Participation
02/11/12
Choice - 10-50 Lives - 20%-69% Participation
02/11/12
Flex - 51-99 Lives - 70% Participation
02/11/12
Flex - 51-99 Lives - 20%-69% Participation
02/11/12

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Enrollment Forms

Checklist
01/23/11
Employer Application
01/23/11
Employee Application
07/01/11
Small Group Transmittal Form
01/23/11
Agent of Record Letter
01/23/11

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Miscellaneous Forms

Dependent Certification Form
01/23/11

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Marketing Materials

Preventative Incentive Flyer
01/23/11

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